Doctor Name: | DIANNE C LAKATA |
NPI Number: | 1023148202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN.,APNC |
License Number: | 26NJ00077800 |
Business Practice Address: | 2100 Wescott Dr Hbh Flemington, NJ - 088224603 |
Business Phone Number: | 9087886401 |
Business Fax Number: | 9087886584 |
Mailing Address: | 2100 Wescott Dr, Hbh 5th Fl Attn Lily FLEMINGTON |
State: | NJ |
Postal Code: | 088224603 |
Phone Number: | 9087886401 |
Fax Number: | 9087886584 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NJ00077800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |